Evidence map›Paper›PMID 30109782›Full record

ArticleCancer medicine2018

The regulatory role of APE1 in epithelial-to-mesenchymal transition and in determining EGFR-TKI responsiveness in non-small-cell lung cancer.

Xiao Yang, Yu Peng, Xuan Jiang, Xianfeng Lu, Wei Duan, Shiheng Zhang, Nan Dai, Jinlu Shan, Yan Feng, Xuemei Li and 6 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 43 citations in OpenAlex.

  1. ALK Knock-In Reporter Reveals APE1 as a Negative Regulator ofInternational journal of molecular sciences · 2026
    Article
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  5. Overcoming EGFR-TKI resistance by targeting the tumor microenvironment.Chinese medical journal pulmonary and critical care medicine · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. The APE1/REF-1 and the hallmarks of cancer.Molecular biology reports · 2024
    Review
  10. Article
  11. Article
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  13. Review
  14. APE1 controls DICER1 expression in NSCLC through miR-33a and miR-130b.Cellular and molecular life sciences : CMLS · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 3 countries.

Xiao YangCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Yu PengCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Xuan JiangCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Xianfeng LuCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Wei DuanCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Shiheng ZhangCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Nan DaiCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Jinlu ShanCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Yan FengCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Xuemei LiCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Yi ChengCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Yuxin YangCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Laura BaughDepartment of Pathology, Baylor University Medical Center, Dallas, Texas.
Gianluca TellLaboratory of Molecular Biology and DNA Repair, Department of Medical and Biological Sciences, University of Udine, Udine, Italy.
Dong WangCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.
Mengxia LiCancer Centre, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China.ORCID 0000-0003-4443-740X
Army Medical University · CNBaylor University Medical Center · USUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpithelial-to-mesenchymal transition (EMT) plays a pivotal role in resistance to EGFR tyrosine kinase inhibitors (TKIs) in non-small-cell lung cancer (NSCLC). Our previous study revealed that in osteosarcoma, human apurinic/apyrimidinic endonuclease 1 (APE1) regulates transforming growth factor-β (TGF-β), an important player in EMT. We therefore hypothesized a link between APE1 and EGFR-TKI responsiveness in NSCLC.

methodsThe protein levels of APE1 were analyzed in tumors of NSCLC patients receiving EGFR-TKI treatment. The correlation between APE1 expression and progression-free survival (PFS), overall survival (OS), or response rate were analyzed. The impact of APE1 on the response to EGFR-TKIs was measured by exogenous manipulation of APE1 in EGFR-TKI-sensitive and EGFR-TKI-resistant cells.

resultsWe indicate that low expression of APE1 in tumors is associated with a significantly longer PFS (20.8 months vs 8.4 months, P = 0.008) and a preferential OS (39.0 months vs 17.0 months, P = 0.001), with no difference in initial response rate to EGFR-TKIs. We observed that APE1 protein level was significantly increased in EGFR-TKI-resistant cells and was associated with downregulated E-cadherin and upregulated vimentin. The EMT phenotype, as well as the levels of TGF-β, was suppressed in APE1 knockdown HCC827/IR and PC-9/ER cells, while the EMT phenotype was promoted in APE1-overexpressed HCC827 and PC-9 cells. Furthermore, a specific APE1 redox inhibitor (ie, E3330) effectively reversed the EMT phenotype and further sensitized the cells to EGFR-TKIs.

conclusionThis study revealed a significant role of APE1 in EGFR-TKI resistance via novel regulatory effects on the EMT phenotype in NSCLC.

Indexed as

AdultAgedAnimalsAntineoplastic AgentsBiomarkersCarcinoma, Non-Small-Cell LungDNA-(Apurinic or Apyrimidinic Site) LyaseEpithelial-Mesenchymal TransitionErbB ReceptorsFemaleGene DeletionGenomicsHigh-Throughput Nucleotide SequencingHumansLung NeoplasmsMaleAntineoplastic AgentsAPEX1 protein, humanBiomarkersDNA-(Apurinic or Apyrimidinic Site) LyaseErbB ReceptorsProtein Kinase Inhibitorsapurinic/apyrimidinic endonuclease 1EGFR-TKI resistanceepithelial-to-mesenchymal transitionnon-small-cell lung cancertransforming growth factor-β

Identifiers

PMID30109782
PMCPMC6144255
OpenAlexW2885686489

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.